PROSTITUTION AND RISK OF HIV - MALE PARTNERS OF FEMALE PROSTITUTES
PROSTITUTION AND RISK OF HIV - MALE PARTNERS OF FEMALE PROSTITUTES
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DOI：
10.1136/bmj.307.6900.359
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发表时间：
1993-08-07
影响因子：
--
通讯作者：
PERROTTA, L
中科院分区：
文献类型：
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作者：
DAY, S;WARD, H;PERROTTA, L
目的-描述女妓的男性性伴侣感染艾滋病毒的风险行为。设计-横断面研究。背景-伦敦圣玛丽医院泌尿生殖医学诊所。受试者-112名自我认定的女妓男性性伴侣：101名仅报告商业性关系，5名仅报告非商业关系，6名报告商业和非商业关系。主要结果措施-报告的感染艾滋病毒的风险行为HIV 结果——在 40 名之前接受过 HIV 检测或在研究期间接受检测的男性中，有两人 (5%) 感染了 HIV。在回答问题的男性中，34/94 的人报告与其他男性发生性关系，2/105 的人报告使用注射毒品，8/105 的人有输血史，14/108 的人报告既往淋病史，44/102 的人报告在国外付钱做性行为，8/92 的人说他们也曾因性行为而获得报酬。在 55 名报告去年为阴道性交付费的男性中，45 名 (82%) 表示他们一直使用安全套。相比之下，在 11 个不付费的妓女伴侣中，只有两人 (18%) 报告曾与伴侣使用过安全套。结论——仅通过这种途径不能认为与妓女发生性关系的男性有感染艾滋病毒的风险：同性恋接触可能使他们面临更大的风险。尽管卖淫的男性性伴侣存在异质性，但当安全套的使用模式被视为男性与卖淫女的关系类型的反映而不是个人风险水平的结果时，其使用模式是一致的。
Objective-To describe risk behaviours for infection with HIV in male sexual partners of female prostitutes.Design-A cross sectional study.Setting-Genitourinary medicine clinic, St Mary's Hospital, London.Subjects-112 self identified male sexual partners of female prostitutes: 101 who reported commerical sexual relationships only, five who reported noncommercial relationships only, and six who reported both commercial and non-commercial relationships.Main outcome measures-Reported risk behaviours for infection with HIV.Results-Of the 40 men who had had previous HIV tests or were tested during the study, two (5%) were infected with HIV. Of the men who would answer the questions, 34/94 reported having sex with other men, 2/105 reported using injected drugs, 8/105 had a history of blood transfusion, 14/108 reported a past history of gonorrhoea, 44/102 reported paying for sex abroad, and 8/92 said that they had also been paid for sex. Of the 55 men who reported paying for vaginal intercourse in the past year, 45 (82%) said that they had always used a condom. In contrast, of the 11 non-paying partners of prostitutes, only two (18%) reported ever using a condom with their partners.Conclusions-Men who have sex with female prostitutes cannot be assumed to be at risk of infection with HIV only by this route: homosexual contact may place them at greater risk. Despite the heterogeneity among male sexual partners of prostitutes, patterns of use of condoms were uniform when they were considered as a reflection of the type of relationship a man had with a female prostitute rather than a consequence of an individual's level of risk.